UPMC Health Plan Renews Statewide Medicaid Program in Pennsylvania

CPESN® Pennsylvania pharmacies will continue to help UPMC Health Plan's Medicaid patients manage their asthma, COPD, and diabetes medication therapy with renewal of the network's contract. More than 100 Pennsylvania Pharmacist Care Network (PPCN) pharmacies engaged with 3,360 eligible Medicaid patients in 2023 as the program added diabetes care to the program. The pharmacies also conducted more than 1,700 SDoH surveys and made 500 community and health system referrals to help patients address food, transportation, housing and other health-impacting needs.

CPESN® Pennsylvania, Diabetes and COPD Management

In this contract with a statewide Medicaid MCO, Pennsylvania Pharmacist Care Network pharmacists identify gaps in care and address medication adherence for plan-identified patients with COPD and diabetes.

CPESN® Virginia, Diabetes Management Program

More than half of CPESN Virginia's pharmacies had patients eligible for diabetes managment care under a contract with a large national managed health plan. Services include HbA1c monitoring and a focus on nutrition, motivational interviewing, med management, and care coordination.

CPESN® Arkansas, Behavioral Health Med Adherence Program

CPESN® Arkansas pilot program to improve medication adherence in behavioral health patients. Pharmacists provided counseling on adherence to behavioral health medications, and conversion to long-acting anti-psychotic injectables for some patients.

Leveraging Grants to Build Clincial Services

CPESN® New York Vice President Chris Daly shares his network's success being awarded a CDC 815 grant through the New York Department of Health to provide DSME services. All three CPESN NY networks are involved – Upstate NY, NYC, and Western New York, with 30 to 50 pharmacies participating at any time.
10 pharmacies are now accredited to hold their own diabetes classes and refer patients into those classes.